NAVAJO NATION FIRE & RESCUE SERVICES …

1 NAVAJO NATION fire & RESCUE SERVICES employee leave & SHIFT TRADE REQUEST employee NAME: DATE OF REQUEST: TITLE: WORKSITE: SSN: TYPE OF leave : Annual Sick Comp. Time Shift Trade Other STARTING DATE: STARTING TIME: ENDING DATE: ENDING TIME: TOTAL HOURS: NAME OF PERSON TRADING SHIFT WITH: SSN: WORKSITE: REQUESTOR S SIGNATURE: ACCPETING SHIFT TRADER SIGNATURE: NOTE: ANNUAL leave AUTHORIZED, IN EXCESS OF THAT TO YOUR CREDIT WILL BE CHARGED TO leave WITHOUT PAY.

2 IF SICK leave ABSENCE IS 3 DAYS OR MORE, employee MUST SUBMIT WRITTEN PROOF OF ILLNESS OR DISABILITY. ATTACH APPOINTMENT DOCUMENT TO REQUEST. PERSONNEL POLICIES MANUAL AND fire DEPARTMENT POLICY APPLIES. STATE PURPOSE OF leave OR SHIFT TRADE: employee SIGNATURE: SUPERVISOR SIGNATURE/DATE: CHIEF APPROVAL/DATE NAVAJO NATION fire & RESCUE SERVICES employee leave & SHIFT TRADE REQUEST employee NAME: DATE OF REQUEST: TITLE: WORKSITE: SSN: TYPE OF leave : Annual Sick Comp. Time Shift Trade Other STARTING DATE: STARTING TIME: ENDING DATE: ENDING TIME: TOTAL HOURS: NAME OF PERSON TRADING SHIFT WITH: SSN: WORKSITE: REQUESTOR S SIGNATURE: ACCPETING SHIFT TRADER SIGNATURE: NOTE: ANNUAL leave AUTHORIZED, IN EXCESS OF THAT TO YOUR CREDIT WILL BE CHARGED TO leave WITHOUT PAY.

3 IF SICK leave ABSENCE IS 3 DAYS OR MORE, employee MUST SUBMIT WRITTEN PROOF OF ILLNESS OR DISABILITY. ATTACH APPOINTMENT DOCUMENT TO REQUEST. PERSONNEL POLICIES MANUAL AND fire DEPARTMENT POLICY APPLIES. STATE PURPOSE OF leave OR SHIFT TRADE: employee SIGNATURE: SUPERVISOR SIGNATURE/DATE: CHIEF APPROVAL/DATE